scholarly journals Burnout Level in Medical Residents Doing Internship in Emergency Medicine Hospital before the Pandemic

2020 ◽  
Vol 28 (2) ◽  
pp. 46-69 ◽  
Author(s):  
E.Y. Matyushkina ◽  
O.Y. Mikita ◽  
A.B. Kholmogorova

The review of modern studies on the issue of professional burnout in young doctors and medical residents revealed the highest emotional distress in young residents doing internships in intensive care and emergency units. The paper presents the results of the study on 143 medical residents in the multi-profile hospital of emergency medicine. The methodical complex used included Maslach Burnout Inventory, Symptom Checklist‐90‐Revised (SCL-90-R) by L. Derogatis, and a survey on the attitude to professional troubles. Most young doctors pointed out the close relationship between problems with physical health and emotional wellbeing to their professional activity. The vast majority of the participants met the criteria for burnout, as indicated by high emotional exhaustion (69%) and depersonalization (85%) indications from the Maslach Inventory. Although most residents didn’t endorse any problems in communicating with the patients, their high level of depersonalization is more likely to attest to formalizing their relationships with the patients as opposed to having high social competence. The yielded results let us conclude that it is necessary to develop and implement into training programs for medical residents of the multi-profile hospital of emergency medicine programs promoting their communication competence, coping with distress, and preventing professional burnout.


2022 ◽  
Vol 75 (suppl 1) ◽  
Author(s):  
Ana Maria Müller de Magalhães ◽  
Denilse Damasceno Trevilato ◽  
Daiane Dal Pai ◽  
Amanda da Silveira Barbosa ◽  
Natascha Monteiro Medeiros ◽  
...  

ABSTRACT Objective: to identify burnout and associated factors among nursing workers working in coping with COVID-19. Methods: a cross-sectional study, developed in four hospitals in a capital in southern Brazil. Sample (n=499) composed of nurses and nursing technicians/assistants, who answered an online form containing socio-occupational characterization and the Maslach Burnout Inventory. Descriptive and inferential statistical analysis was performed, including multiple comparison tests. Results: burnout was identified in 60 (12%) workers, with no significant difference between hospitals, but with a difference in dimensions between them. In the emotional exhaustion dimension, a higher proportion (52.9%) was found at a moderate level. Prevalence of high level of professional achievement of 95.4% was identified. Conclusion: the presence of burnout was significantly prevalent among nurses and females. It reinforces the need to develop strategies to promote the health of nursing workers, providing improvement in health services and reduction of care and labor risks.



Author(s):  
Natalia Kolesnikova ◽  
Oksana Makarkina ◽  
Dmitry Dvoretsky ◽  
Yuriy Dyatlov ◽  
Marina Manoylova

The article deals with the results of the study on burnout syndrome among teachers with various work experiences in university. The aim of the study is the review of burnout psychological patterns among teachers with various work experiences in university. The main hypothesis of the study is based on the assumption that the teachers whose work experience in departmental universities is more than 10 years are more vulnerable to the burnout syndrome development. In order to attain the envisaged goals and to test the hypothesis there were used empirical methods: differential diagnosis of decreased functioning by A. Leonova and S. Velichkovskaya, diagnosis of professional burnout by K. Maslach and S. Jackson adapted by N.E. Vodop’yanova, technique for diagnosing the burnout syndrome level by V.V. Boiko. Group comparison of teachers with various work experiences in university has shown that long term professional activity leads to burnout syndrome development: the most part of examined teachers are characterized by high level of burnout syndrome which structure is observed in high intensity of resistance and exhaustion phases and such syndromes as inadequate emotional discrete response; resignation or depersonalization, emotional and moral disorientation; psychosomatic and vegetative disorders.  



2021 ◽  
Vol 98 ◽  
pp. 01022
Author(s):  
Olga Vagaeva ◽  
Irina Efremkina ◽  
Elena Liksina ◽  
Valerii Liusev ◽  
Natalia Osipova

In Russia, the work of teachers at all levels of the education system is currently subject to increased and often contradictory and frequently changing requirements. Analysis of the literature on the research problem allowed revealing a contradiction between declaring the importance of a teacher’s professional activity, on the one hand, and on the other hand, increasing responsibilities, reporting, psychoemotional tension of pedagogical work, and insufficient interest in the subjective assessment of the current situation by very teachers. The purpose of the present study was to identify the degree of emotional burnout among teachers and the subjective perception by teachers of the relationship between emotional burnout and the quality of the educational process. The study used survey methods, testing using a specially developed form and a Questionnaire to identify the level of professional burnout and deformation, the so-called Maslach Burnout Inventory (MBI) in the modification of O. Polyakova. The conducted study has shown that the problem of emotional (professional) burnout of teachers exists in educational organizations at all levels. However, the focus of this study has been shifted from the fact of teachers’ emotional burnout to the subjective perception by teachers of their emotional burnout as a predictor of the educational process quality. The study has allowed revealing the severity of emotional (professional) burnout components, such as emotional exhaustion and reduction of personal achievements. Psychoemotional tension, stress, feelings of depression and fatigue, which can be considered as manifestations of professional burnout, are associated by the interviewed teachers with irregular working hours, a significant range of noncore activities, and a high level of responsibility, which, in turn, worsen the quality of the educational and upbringing process.



2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Sami Abdo Radman Al-Dubai ◽  
Kurubaran Ganasegeran ◽  
Wilson Perianayagam ◽  
Krishna Gopal Rampal

This study was the first to explore factors associated with emotional burnout (EB) among medical residents in Malaysia. A cross-sectional study was conducted in a universal sample of 205 medical residents in a Malaysian general hospital. The self-administered questionnaire used consisted of questions on sociodemographics and work characteristics, sources of job stress, professional fulfillment, engagement, and EB. EB was measured using the emotional exhaustion subscale, the Maslach Burnout Inventory (MBI). Mean (±SD) age of the respondents was 26.5 (±1.6). The most common source of job stress was “fear of making mistakes.” Most of the participants were dissatisfied with the increase of residentship period from one year to two years. A high level of EB was reported by 36.6% of the respondents. In multivariate analysis, the most important correlates of EB were sources of job stress, professional fulfillment, and engagement. A high prevalence of EB was found among medical residents. Sociodemographic characteristics, performance pressure, and satisfaction with policies were significantly associated with EB. Although this study was limited by its cross-sectional design, its findings posit a sufficient foundation to relevant authorities to construct, amend, and amalgamate existing and future policies.



Author(s):  
Anna Larysz ◽  
Anna Prokopowicz ◽  
Michał Zakliczyński ◽  
Izabella Uchmanowicz

Nurses with depression are not only likely to suffer themselves, but it may have an impact on their coworkers and potentially the quality of care they provide. This study aimed to determine the prevalence of depression and its association with burnout in cardiac nurses. A group of 400 cardiac nurses (361 women and 39 men) was enrolled. The standardized tools such as Maslach Burnout Inventory (MBI), Beck Depression Inventory (BDI), and Patient Health Questionaire-9 (PHQ-9) were used. A high level of professional burnout regarding emotional exhaustion was observed in 53.3% of nurses, high depersonalization in 52.5%, and low personal accomplishment in 72.8%. PHQ-9 and BDI were shown to correlate significantly and positively with all three MBI subscales (p < 0.05). High depressive symptoms and occupational burnout were correlated with depression (p < 0.05). In conclusion, nurses were found to have high levels of depression and professional burnout, which may have resulted in a negative impact on the quality of patient care. Identification of burnout in cardiac nurses is necessary to consider interventions to prevent stress and depression.



Author(s):  
Anna Alekseevna Agibalova ◽  
Oksana Anatolevna Ustimenko ◽  
Viktoriia Gennadevna Zenkina

In the context of the increasing level of requirements, new re-forms and standards in the modern educational system, teachers experience a significant emotional burden. The professional activity of a university lecturer is accompanied by increased moral responsibility and, consequently, is characterized by a high level of emotional, and in the future, professional burnout. Some socio-psychological and professional features, as well as risk factors for professional burnout of higher school teachers, are noted. The results of the study of the diagnosis of professional burnout of medical university lecturers are presented. It is noted that in specialists who are lecturers and doctors at the same time, professional burnout is more pronounced than in lecturers who are engaged only in pedagogical activities. The factors that mostly cause the process of burnout of teachers are identified: work experience, age, dissatisfaction with work, stress resistance. The recommendations on the implementation of the skills of self-regulation of the emotional state, aimed at preventing the syndrome of professional burnout, are given.



2021 ◽  
Vol 1 (2) ◽  
pp. e21012
Author(s):  
Henrique Herpich ◽  
Nayara Monteiro Pinhero ◽  
Marcio Da Silveira Rodrigues ◽  
Ian Ward A. Maia ◽  
Lucas Oliveira J. E Silva

Study objective: To describe the characteristics and curricula of Brazilian Emergency Medicine (EM) residency programs. Methods: This was a national cross-sectional survey conducted between January and May 2021. A survey was distributed to residency directors with queries about the characteristics of their programs. Descriptive analysis was performed stratified by Brazilian regions. Results: There were a total of 35 responses from the 39 (response rate = 89.7%) EM residency training programs in Brazil. Twelve (34.3%) programs were in the South region, 17 (48.6%) in the Southeast, 3 (8.6%) in the Central-West, and 3 (8.6%) in the Northeast. These 35 programs represented a total of 166 residency slots offered per year (median 4, range 2-24). All programs are of 3-year duration. Seventeen programs (48.6%) were officially launched in either 2019 or 2020. The estimated proportion of faculty with prior EM residency or board certification in EM was reported to be less than 20% in 26 of 35 (74.3%) programs. Only 5 rotations were mandatory across all 35 programs, including rotations in the emergency department (ED) intermediate acuity unit (“yellow” room), ED high acuity unit (“red” room), intensive care unit (ICU), obstetrics and gynecology, and trauma. Other rotations were highly heterogeneous across regions. Conclusion: Emergency medicine residency is clearly growing in Brazil, and there is a relatively high level of heterogeneity across programs. There is a clear need for standardization of residency curriculum.



2021 ◽  
Vol 18 (1) ◽  
pp. 194-216
Author(s):  
Sofia S. Belousova

The specifics of professional burnout of teachers engaged, in addition to their direct pedagogical activities, in the administration of their educational organizations are studied. The relevance of the raised research problem is determined by the significant socio-economic and political changes taking place in the modern education system: its intensive modernization and the introduction of innovative technologies in education have an impact not only on the content side of the educational process but also on its organization. The implementation of these innovations falls on the shoulders of the administrative and managerial personnel of schools, demanding huge emotional, intellectual and mental costs from the latter. The purpose of this study was to identify the characteristics of professional burnout and its symptoms in administrative and managerial personnel of educational organizations in relation to the severity of their psychological defenses and personality motivational profile. The sample was composed of 75 teachers (54 women, 21 men) in the position of school deputy director for studies and educational work. Their administrative work experience in an educational organization ranged from 1 to 23 years, the average age was 37.5 years. The study used a set of valid and reliable psychodiagnostic methods, including The Maslach Burnout Inventory (MBI) Questionnaire by Ch. Maslach and S.E. Jackson (adapted by N.E. Vodopyanova), The Life Style Index (LSI) by R. Plutchik, H. Kellerman and H.R. Conte (adapted by E.S. Romanov and L.R. Grebenshchikov) and Diagnosis of the Motivational Structure of Personality by V. Milman. The correlation analysis revealed that among teachers who additionally occupy in an educational institution, professional burnout is interconnected with the manifestation of psychological defenses of suppression, projection and intellectualization. Also, a relationship was established between professional burnout and a decrease in motivation for communication, general activity, creative activity and social usefulness of activities. The revealed specifics of professional activity and burnout of school deputy directors as well as the characteristics of their strategies for overcoming crisis situations in professional activity under conditions of changes and uncertainties open up opportunities for us to develop and implement programs on preventing professional burnout in this category of teachers and providing psychological support for their professional activities.



2007 ◽  
Vol 30 (4) ◽  
pp. 56
Author(s):  
I. Rigby ◽  
I. Walker ◽  
T. Donnon ◽  
D. Howes ◽  
J. Lord

We sought to assess the impact of procedural skills simulation training on residents’ competence in performing critical resuscitation skills. Our study was a prospective, cross-sectional study of residents from three residency training programs (Family Medicine, Emergency Medicine and Internal Medicine) at the University of Calgary. Participants completed a survey measuring competence in the performance of the procedural skills required to manage hemodynamic instability. The study intervention was an 8 hour simulation based training program focused on resuscitation procedure psychomotor skill acquisition. Competence was criterion validated at the Right Internal Jugular Central Venous Catheter Insertion station by an expert observer using a standardized checklist (Observed Structured Clinical Examination (OSCE) format). At the completion of the simulation course participants repeated the self-assessment survey. Descriptive Statistics, Cronbach’s alpha, Pearson’s correlation coefficient and Paired Sample t-test statistical tools were applied to the analyze the data. Thirty-five of 37 residents (9 FRCPC Emergency Medicine, 4 CCFP-Emergency Medicine, 17 CCFP, and 5 Internal Medicine) completed both survey instruments and the eight hour course. Seventy-two percent of participants were PGY-1 or 2. Mean age was 30.7 years of age. Cronbach’s alpha for the survey instrument was 0.944. Pearson’s Correlation Coefficient was 0.69 (p < 0.001) for relationship between Expert Assessment and Self-Assessment. The mean improvement in competence score pre- to post-intervention was 6.77 (p < 0.01, 95% CI 5.23-8.32). Residents from a variety of training programs (Internal Medicine, Emergency Medicine and Family Medicine) demonstrated a statistically significant improvement in competence with critical resuscitation procedural skills following an intensive simulation based training program. Self-assessment of competence was validated using correlation data based on expert assessments. Dawson S. Procedural simulation: a primer. J Vasc Interv Radiol. 2006; 17(2.1):205-13. Vozenilek J, Huff JS, Reznek M, Gordon JA. See one, do one, teach one: advanced technology in medical education. Acad Emerg Med. 2004; 11(11):1149-54. Ziv A, Wolpe PR, Small SD, Glick S. Simulation-based medical education: an ethical imperative. Acad Med. 2003; 78(8):783-8.



2019 ◽  
Vol 28 (10) ◽  
pp. 106-117
Author(s):  
R. M. Asadullin

The continuous modernization of the education system makes the problems of the quality of teacher training increasingly relevant. Moreover, the measures taken to improve the system of teacher education are largely confined to the introduction of new organizational and managerial mechanisms and practically do not affect the internal content and technological structure of the teacher training process.Modern pedagogical universities are constantly looking for innovative models of training teachers that will be able to solve non-standard social and professional tasks. However, recent studies in this area do not fully take into account the nature of pedagogical activity and conditions of its formation. Thus, the need arises for a special study of the processes and means of updating the content and technologies of teacher training in order to control the level of students’ professional competencies development, as required by educational and professional standards. This means the creation of a special educational system in a pedagogical university, which can provide a harmonious and synchronous mastering by future specialists of both subject knowledge and methods of pedagogical activity.The article provides a theoretical study aimed at identifying key patterns of designing a new content for teacher education, the basis of which is the formation of a future teacher as a subject of his own professional activity. The author describes the experience of using a subject-oriented model of education, implemented at Bashkir State Pedagogical University n.a. M. Akmulla. The effectiveness of this model is confirmed by the high level of students’ mastery of designing methods and constructing the educational process, as well as their positive experience in the implementation of educational activities.



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